APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the...

15
APPLICATION FOR GRADUATE ADMISSION ˛

Transcript of APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the...

Page 1: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

APPLICATION FOR GRADUATE ADMISSION

˛

Page 2: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

ADMISSION INFORMATION

Application Instructions For Graduate Programs

A N O N L I N E A P P L I C A T I O N I S A L S O A V A I L A B L E A T W W W . B U . E D U / M E T / A D M I S S I O N S / A P P LY - N O W .

Graduate programs at Boston University Metropolitan College are open to qualified applicants who have earned a bachelor’s degree from a fully accredited college or university in the United States or abroad. Applicants are subject to the specific requirements of the individualdegree programs which can be found under each graduate program’s listing.The Admissions Committee for each graduate program is composed of representatives of the faculty. The committees evaluate application credentials and make decisions regarding admission to the program. Emphasis is placed upon the applicant’s demonstratedscholastic ability, academic aptitude for graduate study in their selected field, maturity, previous work experience, and career potential.Please note: Students requesting full-time admission to the Master of Science in Administrative Studies program are expected to have completeda minimum of one year of relevant work experience.

A D M I S S I O N T I M E T A B L EAdmission is normally granted for September, January, and May of each year. Admissions Committees meet on a continuing basis to review completed applications and render prompt admission decisions. To allow for processing time, applicants requiring student visas musthave department applications and International Students & Scholars Office (ISSO) materials completed at least six weeks prior to the start of thesemester.

P R E R E Q U I S I T E SThe following programs have certain prerequisite courses or proficiencies that must be met prior to acceptance: Actuarial Science, AdministrativeStudies, Computer Information Systems, Computer Science, and Telecommunication. These requirements are described on each program’spage on the Metropolitan College website (www.bu.edu/met). Evidence of proficiency in these areas must accompany the application tothe program. If college-level credit courses are not evident, suitable coursework must be completed before formal acceptance into theprogram is granted.

A P P L I C A T I O N R E Q U I R E M E N T SA complete application for admission must include:

• A completed Application for Graduate Admission form.

• A self-evaluation (short essay discussing your motivation for study).

• Official transcript(s) from each college and graduate school attended.

• Three letters of recommendation, one of which should be an academic reference.

• A current résumé.

• A nonrefundable $70 application fee. (Please make check payable to Boston University.)

I N T E R N A T I O N A L A P P L I C A N T SMust submit the following materials in addition to the application requirements:

• Score from Test of English as a Foreign Language (TOEFL).

• Authorized financial statement from a bank (original, shown in U.S. dollars).

• Letter of financial support from sponsor (firm, government, parents, etc.).

• International Student Data Form.

• Copy of current I-20 and I-94, both sides (if applicable).

• Notarized English translations of all documents not in English.

In certain programs, the Admissions Committee may request an applicant to submit official scores from the Graduate Record Exam (GRE) or the Graduate Management Admissions Test (GMAT).

Page 3: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

Procedure for SubmissionOnce you have completed the Application for Graduate Admission form and have assembled the necessary documents, please mail yourapplication to the a ppropriate address below. Please remember to indicate on the envelope the program to which you are applying.

For the following programs:

Administrative Studies

Arts Administration

City Planning (–– Program Name ––)

Computer Information Systems Graduate Admissions Committee

Computer Science Boston University Metropolitan College

Criminal Justice 808 Commonwealth Avenue

Gastronomy Boston, Massachusetts 02215

Telecommunication

Urban Affairs

For MS in Advertising only: MS in Advertising

Graduate Admissions Committee

Boston University Metropolitan College

755 Commonwealth Avenue

Boston, Massachusetts 02215

For Actuarial Science Program only: Department of Actuarial Science

Graduate Admissions Committee

Boston University Metropolitan College

96–100 Cummington Street, Suite 160

Boston, Massachusetts 02215

For Military Programs only:

Henderson Hall MCB Camp Lejeune

Graduate Military Programs Graduate Military Programs

P.O. Box 42018 Attn: Larry Watson

Arlington, VA 22204 P.O. Box 8626

Camp Lejeune, NC 28547

MCAS Cherry Point Hanscom Air Force Base

Graduate Military Programs Attn: Gerard Keegan

P.O. Box 2229 29 Chennault Street

Cherry Point, NC 28532 Building #1728, Room 17A

Hanscom AFB, MA 01731-1635

Please note that only when applications are complete will they be forwarded to the Admissions Committee for review. For more information,please contact the department for the program to which you are applying.

Transfer of CreditTransfer of academic credit may be awarded provided the courses are appropriate in content for the program. Following acceptance, it is possible for students to transfer a maximum of eight credit hours (or up to twelve credit hours for the City Planning Program) from anaccredited university to their program of study. Courses must be graduate-level with a B or better (or B+ or better for applicants to theAdministrative Studies Program) and completed within four years prior to matriculation. Transfer of credit cannot be from another degreeprogram that the student will complete or has completed. If you have additional questions about the transfer of credits, please contact thedepartment for the program to which you are applying.

4 Boston University METROPOLITAN COLLEGE PROOF 3

Page 4: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

Application for Graduate Admission 1

Please mark the box to indicate to which graduate program you are applying. Some programs may also ask you to select the area in whichyou will concentrate your studies.

For information on Metropolitan College online programs, visit www.bu.edu/online.

Please Note: If you want to use a certificate towards a master’s degree, please check the Graduate Certificates box AND check the master’s degree of your choice.

I. Application Requirements

Submit the following materials to the address for the program to which you are applying, listed in the application

instructions:

• Completed application form. • Three letters of reference from professors or employers.

• Self-evaluation. • Your current résumé.

• Official transcripts from each college or university attended. • Nonrefundable application fee (check payable to Boston University):c $25 Certificate c $70 Master’s degreec $95 Certificate and master’s degree

II. Personal Data

Name _________________________________________________________________________________________________________TITLE LAST (FAMILY NAME) FIRST MIDDLE MAIDEN

Current address ________________________________________________________________________________________________NUMBER AND STREET CITY STATE ZIP CODE

Province ___________________________________________ Country_____________________________________________________

Current until _______________________ Telephone number (______)_____________________________________________________AREA CODE

Permanent address _____________________________________________________________________________________________NUMBER AND STREET CITY STATE ZIP CODE

Province __________________________________________ Country ____________________________________________________

Home telephone number (______)___________________________________________AREA CODE

Employment ____________________________________________________________________________________________________COMPANY NAME JOB TITLE

______________________________________________________________________________________________________________BRIEF JOB DESCRIPTION

c Health Communication (online)c Leadership (military)Base location: ______________________c Management (online)

Select an area of specialization:c Banking & Financial Services Managementc Business Continuity, Security & Risk

Managementc Insurance Managementc International Marketing Managementc Project Management

c Telecommunicationc Concentration in Security

c Urban Affairs

Graduate Certificatesc Graduate Certificate (Specify on the line below)

___________________________________

c Computer Information Systems (military)Base location: ______________________

c Computer Information Systems (blended) Select an area of concentration:c Database Management & Business

Intelligencec IT Project Managementc Security

c Computer Information Systems (online) Select an area of concentration:c Database Management & Business Intelligencec IT Project Managementc Security

c Computer Sciencec Concentration in Security

c Criminal Justicec Criminal Justice (online)c Gastronomy

Master’s Degreesc Actuarial Sciencec Administrative Studies Select an area of concentration:

c Economic Development & Tourism Managementc Electronic Commerce, Systems & Technologyc Financial Economicsc Innovation & Technologyc Multinational Commerce

c Advertisingc Arts Administration Select one area of study:

c Performing Artsc Visual Arts

c City Planningc Computer Information Systems

Select an area of concentration:c Database Management & Business Intelligencec Health Informaticsc IT Project Managementc Security

Application for Graduate Admission

Page 5: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

Company address ________________________________________________________________________________________________NUMBER AND STREET CITY STATE ZIP CODE

Work telephone number (______) _________________________________AREA CODE

Birth Date _______ / _______ / _______ c Male c FemaleSOCIAL SECURITY NUMBER OR MONTH DAY YEAR

BOSTON UNIVERSITY STUDENT I.D. NUMBER

Boston University ID number: _________________________________

Email address _____________________________________________ This is a c work c home email address

Verify email address _________________________________________

How did you learn about this program? ________________________________________________________________________________

III. Personal DataApplying for semester beginning c January c May c June c September

Do you plan to live in a University residence? c Yes c No Students with questions about housing should contact Housing at 617-353-3511.

Have you or will you be submitting the CSS/Financial Aid PROFILE and the Free Application for Federal Student Aid (FAFSA) as your applicationfor financial assistance at Boston University? c Yes c No

Do you consider yourself to be Hispanic/Latino? c Yes c No

In addition, select one or more of the following racial categories to describe yourself:

c American Indian or Alaska Native c Asian c Black or African American c Native Hawaiian or Pacific Islander c White

Is English the primary language spoken in your home? c Yes c No If not, what is? ___________________________________________

Are you a United States citizen? c Yes c No If not, do you currently hold a United States Permanent Resident or Immigrant Visa (“green card”)? c Yes c No

Country of birth: _________________________________________________ Years resided in the U.S.: ______________________________

IV. Academic Record

Please list all schools attended since the completion of high school. Please remember to include with this application official copies of all transcripts.

Name of College/University Location Dates Attended Degree Graduation Date Major

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Please list all awards, scholastic honors, scholarships, publications, activities, and other achievements.

_____________________________________________________ __________________________________________________

_____________________________________________________ __________________________________________________

Graduate courses completed at Boston University Metropolitan College. If you completed courses as prerequisites to your program of application, pleasecomplete the Proof of Proficiency section below instead.

Course Number Course Title Name of Instructor Number of Credits Academic Year Grade

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Proof of Proficiency (for programs with prerequisite coursework): Please list the courses that you have taken to fulfill prerequisite coursework forthe program to which you are applying. If you have taken courses at institutions other than Boston University Metropolitan College, please attachcourse syllabi, or if not available, official catalog descriptions. Do not list courses that do not meet the minimum requirements as set forth by eachprogram. For more information, please contact the program to which you are applying.

Name of College/University Course Number and Title Number of Credits Academic Year Grade

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

2 Boston University METROPOLITAN COLLEGE PROOF 3

- -

Page 6: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

V. Work Experience

Please list employment, internships, summer jobs, special traineeships, or military service (list your present occupation first).

From To Employer Location Position Part- or Full-Time

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

VI. Self-Evaluation

On a separate piece of paper, please describe your motivation for pursuing graduate study in view of your formal education, current job responsibil-ities (if applicable), and career aspirations. You may want to also discuss any gaps or weaknesses in your background that you expect to address inyour graduate study. Please include the reasons you believe the program to which you are applying fits your personal goals and career plans.

VII. References

Please list the names and titles of three persons who will provide letters of reference to BU’s Metropolitan College.

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Signature ____________________________________________________________ Date ____________________________________

PROOF 3 Application for Graduate Admission 3

Page 7: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

PROOF 3 Application for Graduate Admission 5

To the Applicant: This recommendation will become part of your admissions file. It will not be disclosed to any unauthorized individual withoutyour consent. If you matriculate at Boston University, you will be accorded access to its contents unless you voluntarily waive your right of access.Please check one of the options below, and fill in your name, program, signature, and the date.

I have read the information above and hereby c waive c do not waive my right of access to this document should I matriculate at Boston University.

Name ______________________________________________________________________________________________LAST FIRST MIDDLE

Signature ___________________________________________________________ Date __________________________

Program applying to _____________________________________________________________________________________

To the Evaluator:

The person whose name appears above has applied for admission to a graduate program at Boston University Metropolitan College. TheAdmissions Committee attaches great weight to an applicant’s qualifications that are not adequately reflected in past academic records. Therefore,a personal, frank assessment of the applicant is invaluable to the Admissions Committee.

Under the 1974 Family Educational Rights to Privacy Act, the applicant named above will have access to this recommendation unless he/she haswaived that right.

Letter of Recommendation

Your name ________________________________________________ Email ____________________________________

Position and title _______________________________________________________________________________________

Organization/Company name _______________________________________________________________________________

Address _____________________________________________________________________________________________

Daytime telephone: (______)_________________________________AREA CODE

Important Notice: Boston University Metropolitan College permits applicants to submit supporting documents, such as your recommendation, alongwith the application. With this in mind, we ask that you please return your recommendation to the applicant in an envelope, making certain to sign andseal the back of the envelope. However, if you would rather submit the recommendation form directly to the applicant’s program, it can be mailed in asigned and sealed envelope to the program of application at Boston University Metropolitan College, 808 Commonwealth Avenue, Boston, MA 02215.[If you choose to mail this form for an applicant to the Actuarial Science Program, please direct your recommendation to the Actuarial ScienceProgram, Boston University Metropolitan College, 96–100 Cummington Street, Suite 160, Boston, MA 02215. For the MS in Advertising, please directyour recommendation to the MS in Advertising Admissions Committee, Boston University Metropolitan College, 755 Commonwealth Avenue, Boston,MA 02215. For the Military Programs, please call 910-451-5574 (NC or VA) or 781-377-3454 (MA) to find out where to file.]

1. How long have you known the applicant?

2. Under what circumstances have you known the applicant?

Letter of RecommendationApplication for Graduate Admission

Page 8: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

6 Boston University METROPOLITAN COLLEGE PROOF 3

3. Are you familiar with the applicant’s scholastic record? c Yes c No If yes, is the scholastic record an accurate index of the applicant’sacademic ability? c Yes c No Please explain (use separate sheet if necessary):

4. What are the applicant’s main strengths?

5. What are the applicant’s main liabilities or weaknesses?

6. How well does the applicant communicate orally and in writing? (If English is not the applicant’s native language, how would you rate his/heroral and written proficiency in English?)

7. Please assess the applicant’s analytical skills.

Unable to judge Poor Average Good Outstanding Exceptionalc c c c c c

8. On the scale below, please compare the applicant’s intellectual ability with that of others of the same general background whom you have knownduring your professional career. Please indicate the reference group (students, employees, and so on). ________________________________

Unable to judge Poor Average Good Outstanding Exceptionalc c c c c c

9. The Admissions Committee would appreciate any additional statement you may wish to make concerning the applicant’s capacity for graduatestudy and his/her potential for a responsible and successful professional career.

10. Summary evaluation:

c I do not recommend this applicant for admission.c I feel that the applicant’s qualifications are marginal, but if admitted, the applicant would greatly benefit from study in the program.c I recommend this applicant for admission and feel his/her performance should be comparable to that of most graduate students.c I strongly recommend this applicant for admission and feel that he/she has the capability to perform at a superior level.

Thank you for your cooperation and effort in providing this information.

Signature _____________________________________________________________________ Date ______________________________

Boston University’s policies provide for equal opportunity and affirmative action in employment and admission to all programs of the University.

Page 9: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

PROOF 3 Application for Graduate Admission 7

To the Applicant: This recommendation will become part of your admissions file. It will not be disclosed to any unauthorized individual withoutyour consent. If you matriculate at Boston University, you will be accorded access to its contents unless you voluntarily waive your right of access.Please check one of the options below, and fill in your name, program, signature, and the date.

I have read the information above and hereby c waive c do not waive my right of access to this document should I matriculate at Boston University.

Name ______________________________________________________________________________________________LAST FIRST MIDDLE

Signature ___________________________________________________________ Date __________________________

Program applying to _____________________________________________________________________________________

To the Evaluator:

The person whose name appears above has applied for admission to a graduate program at Boston University Metropolitan College. TheAdmissions Committee attaches great weight to an applicant’s qualifications that are not adequately reflected in past academic records. Therefore,a personal, frank assessment of the applicant is invaluable to the Admissions Committee.

Under the 1974 Family Educational Rights to Privacy Act, the applicant named above will have access to this recommendation unless he/she haswaived that right.

Letter of Recommendation

Your name ________________________________________________ Email ____________________________________

Position and title _______________________________________________________________________________________

Organization/Company name _______________________________________________________________________________

Address _____________________________________________________________________________________________

Daytime telephone: (______)_________________________________AREA CODE

Important Notice: Boston University Metropolitan College permits applicants to submit supporting documents, such as your recommendation, alongwith the application. With this in mind, we ask that you please return your recommendation to the applicant in an envelope, making certain to sign andseal the back of the envelope. However, if you would rather submit the recommendation form directly to the applicant’s program, it can be mailed in asigned and sealed envelope to the program of application at Boston University Metropolitan College, 808 Commonwealth Avenue, Boston, MA 02215.[If you choose to mail this form for an applicant to the Actuarial Science Program, please direct your recommendation to the Actuarial ScienceProgram, Boston University Metropolitan College, 96–100 Cummington Street, Suite 160, Boston, MA 02215. For the MS in Advertising, please directyour recommendation to the MS in Advertising Admissions Committee, Boston University Metropolitan College, 755 Commonwealth Avenue, Boston,MA 02215. For the Military Programs, please call 910-451-5574 (NC or VA) or 781-377-3454 (MA) to find out where to file.]

1. How long have you known the applicant?

2. Under what circumstances have you known the applicant?

Letter of RecommendationApplication for Graduate Admission

Page 10: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

8 Boston University METROPOLITAN COLLEGE PROOF 3

3. Are you familiar with the applicant’s scholastic record? c Yes c No If yes, is the scholastic record an accurate index of the applicant’sacademic ability? c Yes c No Please explain (use separate sheet if necessary):

4. What are the applicant’s main strengths?

5. What are the applicant’s main liabilities or weaknesses?

6. How well does the applicant communicate orally and in writing? (If English is not the applicant’s native language, how would you rate his/heroral and written proficiency in English?)

7. Please assess the applicant’s analytical skills.

Unable to judge Poor Average Good Outstanding Exceptionalc c c c c c

8. On the scale below, please compare the applicant’s intellectual ability with that of others of the same general background whom you have knownduring your professional career. Please indicate the reference group (students, employees, and so on). ________________________________

Unable to judge Poor Average Good Outstanding Exceptionalc c c c c c

9. The Admissions Committee would appreciate any additional statement you may wish to make concerning the applicant’s capacity for graduatestudy and his/her potential for a responsible and successful professional career.

10. Summary evaluation:

c I do not recommend this applicant for admission.c I feel that the applicant’s qualifications are marginal, but if admitted, the applicant would greatly benefit from study in the program.c I recommend this applicant for admission and feel his/her performance should be comparable to that of most graduate students.c I strongly recommend this applicant for admission and feel that he/she has the capability to perform at a superior level.

Thank you for your cooperation and effort in providing this information.

Signature _____________________________________________________________________ Date ______________________________

Boston University’s policies provide for equal opportunity and affirmative action in employment and admission to all programs of the University.

Page 11: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

PROOF 3 Application for Graduate Admission 9

To the Applicant: This recommendation will become part of your admissions file. It will not be disclosed to any unauthorized individual withoutyour consent. If you matriculate at Boston University, you will be accorded access to its contents unless you voluntarily waive your right of access.Please check one of the options below, and fill in your name, program, signature, and the date.

I have read the information above and hereby c waive c do not waive my right of access to this document should I matriculate at Boston University.

Name ______________________________________________________________________________________________LAST FIRST MIDDLE

Signature ___________________________________________________________ Date __________________________

Program applying to _____________________________________________________________________________________

To the Evaluator:

The person whose name appears above has applied for admission to a graduate program at Boston University Metropolitan College. TheAdmissions Committee attaches great weight to an applicant’s qualifications that are not adequately reflected in past academic records. Therefore,a personal, frank assessment of the applicant is invaluable to the Admissions Committee.

Under the 1974 Family Educational Rights to Privacy Act, the applicant named above will have access to this recommendation unless he/she haswaived that right.

Letter of Recommendation

Your name ________________________________________________ Email ____________________________________

Position and title _______________________________________________________________________________________

Organization/Company name _______________________________________________________________________________

Address _____________________________________________________________________________________________

Daytime telephone: (______)_________________________________AREA CODE

Important Notice: Boston University Metropolitan College permits applicants to submit supporting documents, such as your recommendation, alongwith the application. With this in mind, we ask that you please return your recommendation to the applicant in an envelope, making certain to sign andseal the back of the envelope. However, if you would rather submit the recommendation form directly to the applicant’s program, it can be mailed in asigned and sealed envelope to the program of application at Boston University Metropolitan College, 808 Commonwealth Avenue, Boston, MA 02215.[If you choose to mail this form for an applicant to the Actuarial Science Program, please direct your recommendation to the Actuarial ScienceProgram, Boston University Metropolitan College, 96–100 Cummington Street, Suite 160, Boston, MA 02215. For the MS in Advertising, please directyour recommendation to the MS in Advertising Admissions Committee, Boston University Metropolitan College, 755 Commonwealth Avenue, Boston,MA 02215. For the Military Programs, please call 910-451-5574 (NC or VA) or 781-377-3454 (MA) to find out where to file.]

1. How long have you known the applicant?

2. Under what circumstances have you known the applicant?

Letter of RecommendationApplication for Graduate Admission

Page 12: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

10 Boston University METROPOLITAN COLLEGE PROOF 3

3. Are you familiar with the applicant’s scholastic record? c Yes c No If yes, is the scholastic record an accurate index of the applicant’sacademic ability? c Yes c No Please explain (use separate sheet if necessary):

4. What are the applicant’s main strengths?

5. What are the applicant’s main liabilities or weaknesses?

6. How well does the applicant communicate orally and in writing? (If English is not the applicant’s native language, how would you rate his/heroral and written proficiency in English?)

7. Please assess the applicant’s analytical skills.

Unable to judge Poor Average Good Outstanding Exceptionalc c c c c c

8. On the scale below, please compare the applicant’s intellectual ability with that of others of the same general background whom you have knownduring your professional career. Please indicate the reference group (students, employees, and so on). ________________________________

Unable to judge Poor Average Good Outstanding Exceptionalc c c c c c

9. The Admissions Committee would appreciate any additional statement you may wish to make concerning the applicant’s capacity for graduatestudy and his/her potential for a responsible and successful professional career.

10. Summary evaluation:

c I do not recommend this applicant for admission.c I feel that the applicant’s qualifications are marginal, but if admitted, the applicant would greatly benefit from study in the program.c I recommend this applicant for admission and feel his/her performance should be comparable to that of most graduate students.c I strongly recommend this applicant for admission and feel that he/she has the capability to perform at a superior level.

Thank you for your cooperation and effort in providing this information.

Signature _____________________________________________________________________ Date ______________________________

Boston University’s policies provide for equal opportunity and affirmative action in employment and admission to all programs of the University.

Page 13: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

PROOF 3 International Student Data Form 11

International Student Data Form

This form must be completed by all international students applying for admission. Please answer all of the questions completely and return theform with the requested financial documentation and copies of U.S. immigration documents (if applicable) to the Admissions Office reviewingyour academic application. Once you have been admitted to a program of study (and, in some cases, once you have formally accepted the offer of admission), the Admissions Office will send this form, the supporting documents, and a file to the Boston University International Students &Scholars Office (ISSO). Once your file has been reviewed and determined to be complete, the ISSO will forward an official immigration documentto you with instructions on how to apply for the student visa at the nearest U.S. Embassy or Consulate. If you are currently in the U.S., the ISSOwill forward specific immigration instructions to you to facilitate your enrollment.

General Information (Please record all names exactly as they appear on your passport)

Name ______________________________________________________________________________________________________________________________________family/last (in capital letters) first/given middle

Date of birth ___________________________ Place of birth ____________________________________________________________________________________month day year city country

___________________________________________________________________________________________________________________________________________Country of citizenship Country of legal permanent residence

Permanent address in home country:

Street ____________________________________________________________________ City _______________________ State/Province______________________

Country _________________________________________________________________________ Postal code ______________________________________________

Email ______________________________________________________________________________________________________________________________________

If you wish correspondence to be sent to you at an address other than the one above, please write it here:

Street ____________________________________________________________________ City _______________________ State/Province______________________

Country _________________________________________________________________________ Postal code ______________________________________________

This address can be used for mail from ____________________________________________ to ________________________________________________________month day year month day year

Financial Declaration

Boston University is required by U.S. government regulations to check the availability of adequate funding for your tuition, fees, and living expenses for theduration of your studies at Boston University to issue the immigration documents necessary to obtain a student visa. All financial documents submitted forevaluation will become the property of Boston University and will not be returned to the applicant. It is recommended that you request multiple copies ofthe documentation listed below to submit at the point of visa application and to retain for your records. Please refer to the Estimate of Expenses for thebreakdown of fees and for the minimum required per year.

All declarations of financial support must:1. Be original documents (not photocopies)2. Reflect the minimum amount of support in U.S. dollars3. Specify funding for study at Boston University (not another college or university)4. Include a date and be no more than one year old from the intended date of enrollment5. Indicate the period of time for which the support will be provided6. Be written in English

Please check the box below which describes the type of funding you will be receiving, and attach the appropriate official documentation as outlined below:

� If you will be funded by a family member, please submit:1. A letter of sponsorship which indicates that your sponsor is willing and able to support you financially for your academic fees and living expenses

throughout the duration of your studies at Boston University and the relationship of the sponsor to the applicant.2. An official bank statement or credit reference from a bank stating the availability of the minimum estimated expenses as indicated on the Estimate

of Expenses.

� If you will be funded by your government, an organization, a company, etc., the sponsor must submit a letter of sponsorship on official letterhead which states:

1. That your funding is valid specifically for Boston University.2. Exactly which expenses will be covered (i.e., academic fees, living expenses, health insurance, financial support for family members, travel, etc.)3. The length of the financial support.

� If you will be funded by a bank loan, you must submit an official letter of certification from the lending institution indicating the specific amount forwhich you have been guaranteed.

� If you will be funded in a manner not listed above (for example, if you will fund yourself), you must submit official documentation (a bank statement ora credit reference from a bank) indicating the specific amount. ____________________________________________________________Educational Informatio

� Female� Male

Page 14: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

12 Boston University METROPOLITAN COLLEGE PROOF 3

Educational Information

List all schools, colleges, or other institutions you have attended or are attending in your country and elsewhere, including the United States:

Indicate degree or DatesSecondary or Preparatory Schools Location diploma granted from to

Immigration and Visa Information

If you are currently in the U.S., or have been in the U.S. during the past six months, please indicate your current or most recent U.S. immigration

classification ___________________ and submit dark, legible copies of the following documents:

_____ Personal data pages of your passport including the page that indicates the passport expiration date_____ Copy of the front and reverse side of your most recent I-94 card (usually small card stapled into your passport)

(Please make certain that the copy clearly reflects the blue and red DHS stamp on the I-94 card)_____ Copy of the most recent visa stamp in your passport (if applicable)

In addition:• If you are currently in the U.S. in F-1 student status, please submit dark, legible copies of the front and reverse side of all of your Form(s) I-20 and

Employment Authorization Card(s) (if applicable).

• If you are currently in the U.S. in J-1 Exchange Visitor status in any category, please submit dark, legible copies of all of your Form(s) DS-2019.

• If you are currently in the U.S. in F-2, J-2, H-4 or any other dependent immigration status, please submit copies of all immigration documents from yourspouse or parent on which you are dependent for your immigration status.

• If you are currently in the U.S. in any other immigration status, please submit copies of all of your Form(s) I-797 and/or any other relevant immigration documents.

If you are not currently in the U.S., to which U.S. Embassy or Consulate do you intend to apply for your visa stamp?____________________________________________________________ (Please include the city and the country)

Family Information

Your spouse and your children (under the age of 21) are eligible to apply for dependent visas to accompany you to the U.S. or to follow to join you at a later time. Please complete the information below about each dependent whether or not they will be included in your visa/status applications.

1. Do you have any dependents (as defined above)? � No � Yes. How many? ___________

2. Are your dependents currently in the U.S.? � No � Yes

3. Will your family travel with you to the U.S.? � No � Yes

4. Will your family travel to the U.S. separately? � No � Yes. When? _______________________

Dependent 1 Dependent 2 Dependent 3 Dependent 4

Family/Last Name

First/Given Name(s)

Middle Name(s)

Date of Birth (month/day/year)

City of Birth

Country of Birth

Country of Citizenship

Country of Legal Permanent Residence

Relationship*

Current immigration status, if in U.S.

* Please indicate “Wife,” “Husband,” “Son,” or “Daughter.” If you have more than four dependents, list them on an additional sheet.

Last Position Held in Home Country

Please give the title and a brief description of the most recent (or current) position held in your country of citizenship or country of last legal permanent

residence. If the last position was that of student, please write “Undergraduate student” or “Graduate student.”

Please choose the category that best describes the employer of the above position:

� Government � Academic Community � Private Sector � The Arts or Sports � Labor Union or Organization � Communications/Media � Military

I attest that the information I have provided above is accurate, and I understand that it will be released to the U.S. Department of Homeland Security tocreate official immigration records for me and my dependent family members. I understand that I am responsible for submitting adequate financial documentation demonstrating my ability to pay for my tuition and living expenses. Failure to report accurate information could jeopardize my eligibilityfor a U.S. visa or my ability to enter the U.S. and enroll in my academic program.

Signed _____________________________________________________________________________________ Dated ______________________________________Boston University prohibits discrimination against any individual on the basis of race, color, religion, sex, age, national origin, physical or mental disability, sexual orientation, or marital, parental, or veteran status. This policy extends to all rights, privileges, programs, and activities, including admissions, financial assistance, employment, housing, athletics, and educational programs. Boston University recognizesthat nondiscrimination does not ensure that equal opportunity is a reality. Because of this, the University will continue to implement affirmative action initiatives which promote equal opportunity for all students, applicants, and employees. Inquiries regarding the application of this policy should be addressed to the Director of Equal Opportunity, 25 Buick Street, Boston, Massachusetts 02215.

Page 15: APPLICATION FOR GRADUATE ADMISSION · PROOF 3 Application for Graduate Admission 5 To the Applicant: This recommendation will become part of your admissions file.It will not be disclosed

Estimate of Expenses for International Students 13

Estimate of Expenses for International Students

F A L L 2 0 1 0 – S P R I N G 2 0 11P R E P A R E D B Y T H E I N T E R N A T I O N A L S T U D E N T S & S C H O L A R S O F F I C EThese estimates are for graduate international students studying at the Charles River Campus during the 2010/2011 academic year. The 9-monthestimate covers the Fall and Spring semesters, while the 12-month estimate covers Fall, Spring, and Summer. Please keep in mind that the figuresfor living expenses are estimates.

E S T I M A T E F O R G R A D U A T E S T U D E N T S

Tuition listed is for most graduate programs. Please see the “Tuition Exceptions” section below for a list of schools or colleges with differenttuition charges and adjust the tuition estimate accordingly. Some academic programs require additional fees; please check with your academic program to determine if additional fees will apply. Although students are not required to enroll in Summer Term, any courseworktaken during the summer or at the Center for English Language & Orientation Programs (CELOP) will require additional tuition and fees.

9 months 12 monthsTuition (see certain exceptions below) $39,314 $39,314University Fees1 402 402Health Insurance2 1,676 1,676Room and Board 11,950 15,933Books and Supplies 1,189 1,189Incidentals (transportation and personal expenses) 3,994 5,325

Total $58,525 $63,839

E S T I M A T E F O R D E P E N D E N T S

A dependent is defined as the student’s spouse or child (under the age of 21). Please add the following figures to the total estimate listedabove when a student will be accompanied by dependents.

9 months 12 monthsFor one dependent $7,993 $9,652For two dependents $13,899 $17,105

For each additional dependent, add this figure to $3,780 $ 4,555the estimate above for two dependents

T U I T I O N E X C E P T I O N S ( P E R Y E A R )

Substitute these tuition figures in place of the standard tuition figure above when calculating estimate of expenses.

College of Fine Arts $19,648School of Law $39,980School of Social Work $25,100School of Theology $16,000

C O N T I N U I N G S T U D E N T F E E S ( P E R Y E A R )

This fee maintains the registration status of students who have finished all required degree coursework and are only completing thesis or dissertation research.

Continuing Student Fee $4,912

1Tuition and FeesFees include George Sherman Union (GSU) and Health fee for the year; does not include any special fees that may be associated with specific schools/colleges.

2Health Insurance RateThe 2010/2011 cost of the Boston University Medical Insurance plan for full-time students (U.S. citizens and international) is: Boston University Student BASIC:$1,676; or Boston University Student PLUS: $2,299 per year.